Individual
LI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 BEACH ST, FLOOR # 1, BOSTON, MA 02111-2509
(617) 833-8835
(617) 695-2379
Mailing address
112 SOUTH ST, UNIT G, BOSTON, MA 02111-2847
(617) 833-8835
(617) 695-2379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19727
MA
Other
Enumeration date
11/21/2011
Last updated
01/22/2018
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